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Individual

DR. DAVID LEE FACTOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
801 E DIXIE AVE STE 104, LEESBURG, FL 34748-7601
(352) 787-5858
(352) 787-4655
Mailing address
734 N 3RD ST STE 115, LEESBURG, FL 34748-5287
(352) 365-2583
(352) 728-6749

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
9601304
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
103814600
FL
01
612648700
US DOL
Enumeration date
11/29/2005
Last updated
11/13/2019
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